<!DOCTYPE html>
<html xmlns:th="http://www.w3.org/1999/xhtml">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<link rel="stylesheet" href="/css/combo.select.css">
<style>
	.combo-select>select {
		width: 0 !important;
		height: 0!important;
	}
	.combo-select {
		width: 700px!important;
	}
</style>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">

                                                                							                                                                <div class="form-group">
								<label class="col-sm-3 control-label">学校名称：</label>
								<div class="col-sm-8">
							<input id="orgName" name="orgName" placeholder="输入学校查询" class="form-control" type="text">

								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">证书及等级：</label>
								<div class="col-sm-8">
									<select id="profile" name="profile"  class="form-control" onclick="inn()">
										<option value="幼儿照护-初级">幼儿照护-初级</option>
										<option value="幼儿照护-中级">幼儿照护-中级</option>
										<option value="幼儿照护-高级">幼儿照护-高级</option>
										<option value="产后恢复-初级">产后恢复-初级</option>
										<option value="产后恢复-中级">产后恢复-中级</option>
										<option value="产后恢复-高级">产后恢复-高级</option>
									</select>

								</div>
							</div>

							<div class="form-group" readonly='readonly'>
								<label class="col-sm-3 control-label">年份：</label>
								<div class="col-sm-8">
									<input id="year" name="year" class="form-control" type="text" disabled>
<!--									<select id="year" name="year"  class="form-control" >-->
<!--										<option value="2023">2023</option>-->
<!--										<option value="2024">2024</option>-->
<!--									</select>-->
								</div>
							</div>
								<div class="form-group">
								<label class="col-sm-3 control-label">省份：</label>
								<div class="col-sm-8">
									<select id="province" name="province">
									</select>
								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-3 control-label">城市：</label>
								<div class="col-sm-8">
									<select id="city" name="city"></select>
								</div>
							</div>

														                                                                <div class="form-group">	
								<label class="col-sm-3 control-label">计划考试人数：</label>
								<div class="col-sm-8">
									<input id="planStuNum" name="planStuNum" class="form-control" type="number">
																			
								</div>
							</div>
									<div class="form-group">
								<label class="col-sm-3 control-label">收费标准：</label>
								<div class="col-sm-8 priceStandard">
									<select id="priceStandard" name="priceStandard"  class="form-control" >

									</select>
																			
								</div>

							</div>
								<div class="form-group">
								<label class="col-sm-3 control-label">返费标准：</label>
								<div class="col-sm-8 returnStandard">
									<select id="returnStandard" name="returnStandard"  class="form-control" >

									</select>
								</div>
							</div>
								<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script src="//s.xlongwei.com/res/js/My97DatePicker/WdatePicker.js"></script>
	<script src="/js/comboSelect/jquery.combo.select.js"></script>
	<script type="text/javascript" src="/js/webJs/jzweb/examinationCost/add.js?r=2112">
	</script>
</body>
</html>
